Hypertension (High Blood Pressure)
Hypertension is rated under DC 7101 based on diastolic and systolic blood pressure readings. The VA requires readings taken on at least three separate days to establish a rating. A separate evaluation for hypertension is allowed even if you also have a rating for hypertensive heart disease. This is a presumptive condition if diagnosed within one year of separation, for veterans exposed to Agent Orange, or for former prisoners of war.
VA Rating Levels
Diastolic pressure predominantly 100 or more, or systolic pressure predominantly 160 or more. This is also the minimum rating for a veteran with a history of diastolic pressure predominantly 100 or more who requires continuous medication.
Diastolic pressure predominantly 110 or more, or systolic pressure predominantly 200 or more.
Diastolic pressure predominantly 120 or more.
Diastolic pressure predominantly 130 or more.
Exam Tips & Key Evidence
- →The VA looks at readings taken on three different days, so a single high reading won't be enough on its own. If you monitor your blood pressure at home, keep a log to share with your provider.
- →Simply being on blood pressure medication does not automatically qualify you for a 10% rating. You also need a documented history of diastolic readings predominantly at 100 or higher.
- →Hypertension is commonly claimed as secondary to PTSD, sleep apnea, kidney disease, or diabetes. If one of those conditions contributes to your blood pressure issues, make sure your doctor documents the connection.
- →This is recognized as a presumptive condition for Agent Orange-exposed veterans, veterans diagnosed within a year of separation, and former POWs.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.104, DC 7101